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Suggest the diet plan to be followed for diabetic and cholesterol patient

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Dietitian & Nutritionist
Practicing since : 2003
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My question for the Grace XXXXXXX suggested by one of the doctor from the panel (Dr. Aparna) regarding the diet.

Hi Mam,
Can you please suggest the diet to be followed by father for controling diabetis and cholesterol levels?
We are from Andhra Pradesh, below is the regular foods we take for the breakfast, Breakfast : idli , dosa, poori, bonda, umpa(white). Use groundnut chutney. 1 cup tea.
Lunch and dinner : white rice, vegitables, curd, nonveg ( chicken, mutton, fish).
Inbetween lunch and dinner generally takes 1 cup of tea.

This is the diet we follow in general. Could you please suggest the diet to be followed now? It will be great if you can give as many options as you can.

The sugar, cholesterol levels are mentioned under medical history. And prescribe medicines are metnioned under the current medications.

Thanks in advance,

Posted Mon, 6 Aug 2012 in Diet Plans
Answered by Grace Abraham 2 hours later

Thanks for your Query.

Here are some recommendations which are to be followed by a Diabetic Patient.

The main Objectives of Diabetic diet are:

1. No fasting or No feasting;
2. To maintain adequate nutrition;
3. To achieve and maintain desirable body weight.
4. To maintain normal blood sugar levels.
5. To prevent, delay or minimize the onset of chronic degenerative complications.
6. It is important to control the amount and time of food intake. Take six small meals instead of three big meals which are equally time spaced.

Foods to be avoided: Glucose, sugars, honey, jaggery, all sweets, chocolates, ice creams and candies.
Foods to be restricted: ( Not to be taken more than once in a week) Vegetables like Potatoes, yam, arbi, sweet potatoes; Fruits like mango, bananas, sapota, seethaphal,jackfruit and avocado . Alcoholic beverages, carbonated beverages ,fried foods, Dry fruits and nuts, salad dressings like mayonnaise, cream ,etc, cakes and pastries, Tender coconut water, Refined flours like maida .Papad, Pickle, soda bicarbonate, MSG, sauces, Ketchup’s. Non-veg: Red meats, organ meats (liver, kidney), shell fish like prawns, crabs, lobster and egg yolk.

Foods to be used freely: XXXXXXX leafy vegetables, tomatoes, cucumber. Radish, carrot, homemade soups. Tea, Coffee without sugar, and skimmed milk, buttermilk. Whole wheat flour, Ragi, Corn flakes, Wheat flakes. Artificial sweeteners not more than 4 numbers/pellets per day. Only one fruit allowed in a day.

Try to follow the below advises:

- Restrict rice to one meal in a day, which includes idli, dosa, appam etc.
- Have an early morning snack like Tea without sugar along with two fiber biscuits and a late night snack like a glass of Skimmed Milk without sugar or a fruit
- Try to have an early dinner, preferably wheat dosa, chapathi without oil, Broken wheat upma prepared with vegetables, or Ragi dosa and avoid rice or any rice preparation.
- Use more of fiber XXXXXXX foods in the diet, like raw vegetables, sprouts, Whole legumes like channa, Rajma..etc
- Have a light evening snack like aval upma, one idli with sambar, wheat bread vegetable sandwich- 2 slices or boiled legumes.
- Take six small meals instead of three big meals which are equally time spaced.
- Include XXXXXXX Leafy vegetables at least twice in a week
- Avoid red meat, preferably use skin out chicken or fish in a curry form without coconut in the preparation
- Restrict groundnut or coconut chutney, include onion, tomato, mint or coriander chutney
- Use more of garlic in the preparation and horse gram once in a week which will help to reduce the cholesterol levels in the diet
- Daily physical activity of 30 - 45 minutes in a day is recommended.

I hope this helps you. Please write back in case of you have follow up queries to ask.

Grace Abraham

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